Computed Tomography findings of the brain in acute stroke at Phrae hospital
Keywords:
Stroke fast tract, Computed tomography of the brain, acute strokeAbstract
Background: Stroke is the cause of high morbidity and mortality. Stroke fast tract network aims to enable Patients with acute ischemic stroke to be treated with fibrinolytic drugs in a timely manner.
Objective: To analyze the demographics, clinical presentations, service times, and CT findings of stroke fast tract patients at the Phrae hospital.
Study design:This retrospective descriptive study was conducted in 225 stroke fast tract patients from January 1, 2021, to December 31, 2021. The data were analyzed by descriptive statistics such as percentage, and frequency.
Result: A total of the 225 acute stroke patients with male majority (62.7%) and 60-69 years old (31.6%). The most frequent clinical presentation was 76% of the hemiparesis, follow by facial palsy, dysarthria, etc., respectively. The most location of hemorrhagic stroke and lacunar infarction is a capsule-ganglionic region. The first CT scan findings (pre-thrombolytic therapy) were normal, follow by Hyperdense MCA sign, parenchymal hypodensity, loss of insular ribbon, etc., respectively. The second CT scan finding (post-thrombolytic therapy); parenchymal hypodensity is the most frequent. 16.8% of hemorrhage is also seen in post- thrombolytic therapy.
Conclusion: Patients with acute ischemic stroke need to enter the stroke fast tract for immediate examination and interpretation of cerebral computed tomography images so that the patient can receive appropriate treatment.
Keyword: Stroke fast tract, Computed tomography of the brain, acute stroke
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